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General NPI Number Information
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NPI Number | 1841088606
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Entity Type | Organization
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Legal Business Name | PRIDE PATH WELLNESS, LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1500 N GRANT ST # 4823
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 303-900-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 N GRANT ST # 4823
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | SAMUEL HARRISON
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Credential | LCSW, LAC
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Telephone | 303-900-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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